Who this is for: Interns (PGY1) and PGY2s enrolled in the AMC National Framework.
Exempt: PGY2s in specific training programs (BPT, Psychiatry, etc.). PGY3+ may participate voluntarily.
Annual Requirements at a Glance
The AMC Framework requires all Prevocational Doctors in the Framework to complete certain assessments and tasks in order to successfully complete each term and achieve certification at the end of the clinical year.
Further information about these requirements and who can complete these assessments with you can be found on the CLA ePortfolio page.
| Assessment | Frequency | Completed by |
|---|---|---|
| Beginning of Term Discussion | Every term | You + Term Supervisor |
| Mid Term Assessment | Every term (~week 5) | Registrar or Supervisor |
| End of Term Assessment | Every term | Term Supervisor |
| EPAs | Min 2 per term (10 per year) | Trained Assessor |
The only exception is your relieving term (non-service term) where no assessments are required. We highly recommend continuing to complete EPAs during this time to prevent excessive workload in your other three terms.
Beginning of Term Discussion
Under the National Framework for Prevocational Medical Training, PGY1s & 2s are required to meet with their term supervisor at the beginning of each term to:
- Review the term description and agree on learning objectives and assessments
- Discuss learning outcomes to focus on during the term
- Complete the Beginning of Term Discussion on your CLA Portfolio
Resources
Term Descriptions
Guide the discussion; located on the NH Medical Education Teams channel.
Important Notes
- If you cannot meet your assigned Term Supervisor, you may meet with another consultant or Fellow in the unit
- The Beginning of Term Discussion is a mutual obligation — you are expected to approach your supervisor, and they are expected to provide the conditions for the discussion
- Is it compulsory? Yes — it is part of the AMC Framework requirements
For concerns, email Northern Doctors Education.
Mid Term Assessments
Completed around week 5 of each term. Mid Term assessments are intended to:
- Provide timely feedback on your progress
- Identify any learning needs that have arisen during the term
- Discuss strategies to effectively address them
Mid Term assessments can be completed with a registrar and sent to the Term Supervisor to sign off on. Further information on the CLA ePortfolio page.
End of Term Assessments
Completed by your Term Supervisor, who will evaluate your progress in meeting the learning objectives established at the beginning of the term or during the mid-term assessment. Further information on the CLA ePortfolio page.
Entrustable Professional Activities (EPAs)
EPAs are routine clinical tasks that an Intern or PGY2 carries out under supervision. They provide opportunities for regular, constructive feedback, supporting the ongoing development of clinical knowledge and skills.
From 2026: It is compulsory for all Interns and PGY2s in the Framework to complete at least 10 EPAs per year using the CLA ePortfolio.
The Four EPAs
EPA 1 — Clinical Assessment
Conduct a clinical assessment of a patient incorporating history, examination, and formulation of a differential diagnosis and a management plan including appropriate investigations.
EPA 2 — Acute Patient Management
Recognise, assess, escalate appropriately, and provide immediate management to deteriorating and acutely unwell patients.
EPA 3 — Therapeutic Prescribing
Appropriately prescribe therapies (drugs, fluids, blood products, inhalational therapies including oxygen) tailored to patients’ needs and conditions, either in response to a request by the treating team or self-initiated.
EPA 4 — Communication & Documentation
Communicate about patient care, including accurate documentation and written and verbal information to facilitate high-quality care at transition points and referral.
Information for JMOs
- EPA assessment process — Read carefully
- PMCV training video — Watch to strengthen your understanding of EPAs and how they are incorporated into your training journey
- Surgical term clinical scenario examples
- The EPA assessment involves an observer directly supervising you while completing an activity
- You are required to complete one EPA 1 per rotation plus one EPA 2/3 or 4
- EPAs are in addition to Mid and End of Term Assessments
Information for EPA Assessors / Supervisors
- EPA assessment process
- Training video — EPA Assessors/Supervisors are required to complete training prior to assessing an EPA. AMC advised that completion of other EPA training is not recognised as prior learning
- Once you have watched the training video, email Northern Doctors Education to update your record on the LMS
- Tips for giving effective feedback
- PMCV EPA webpage
- EPA presentation from PMCV ACE meeting (YouTube)
Ready to Get Started?
Access the CLA ePortfolio platform to begin completing your assessments and EPAs.
